Deryl Brown, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP130541 Issued in TX

Practice address

3614 Bill Price Rd
Del Valle, TX 78617-3630

Phone

(512) 854-6982

NPI assigned

Mar 10, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Texas Mobile Urgent Care, PLLC Dba North Texas Care Clinic

  • Primary Care Clinic/Center
  • Duncanville, TX
  • NPI 1417361759
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1508227034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 BILL PRICE RD",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786173630",
            "telephone_number": "512-854-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 BILL PRICE RD",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786173630",
            "telephone_number": "512-854-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DERYL",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP130541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri H. Bagwell, RN, FNP
• Begin Life Counseling, PLLC
• Beyond Barriers of Central Texas Inc
• Sarmila Bhatta
• Alexandra Brace, CPM, LM
• Patrice Patton Budd, PNP
• Tiffany Carlson, LMHC, LPC
• Shana Casey, MSN, RN, PMHNP-BC
• Cedar Creek Labs LLC
• Central Texas Community Health Centers

• Psychiatric/Mental Health Nurse Practitioner in Del Valle, TX
• Providers in Del Valle, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.